Individual
DONALD SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3707 BRAMBLETON AVE, ROANOKE, VA 24018-3658
(540) 725-7800
Mailing address
2412 WYCLIFFE AVE SW, ROANOKE, VA 24014-2332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101-036876
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005623600
—
VA
Enumeration date
02/03/2006
Last updated
08/11/2011
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